Individual provider Active NPI

Amanda D Chavers, M.D.

  • Family Medicine Physician
  • Dothan, AL
National Provider Identifier
1689725269
Registry record updated Jan 14, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
27632 Issued in AL
Practice address
4126 W Main St
Dothan, AL 36305-9310
Phone
(334) 793-2120
Fax
(334) 671-2930
NPI assigned
Jan 12, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 14, 2009

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 27632 AL Primary

Addresses

Primary practice location

4126 W Main St
Dothan, AL 36305-9310

Mailing address

4126 W Main St
Dothan, AL 36305-9310
Phone (334) 793-2120

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
27632ALMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Primeteam, Inc. Past Accepting new patients
Primecare of Dothan, PC Past Accepting new patients

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1168560000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1231891200000",
    "number": "1689725269",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4126 W MAIN ST",
            "city": "DOTHAN",
            "state": "AL",
            "postal_code": "363059310",
            "telephone_number": "334-793-2120",
            "fax_number": "334-671-2930"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4126 W MAIN ST",
            "city": "DOTHAN",
            "state": "AL",
            "postal_code": "363059310",
            "telephone_number": "334-793-2120",
            "fax_number": "334-671-2930"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHAVERS",
        "first_name": "AMANDA",
        "middle_name": "D",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-12",
        "last_updated": "2009-01-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "AL",
            "license": "27632",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dothan, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 14, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.